ArticleInternational journal for equity in health2016
The effect of the Family Health Strategy on usual source of care in Brazil: data from the 2013 National Health Survey (PNS 2013).
Article in International journal for equity in health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Measuring and characterizing the quality of child care in Brazilian primary health care: a latent class analysis.Cadernos de saude publica · 2025Article
- From the Brazilian Income Transfer Program to Brazil Assistance: challenges and achievements according to a theory-driven evaluation research on the program.Cadernos de saude publica · 2023Article
- Dual Use of Public and Private Health Care Services in Brazil.International journal of environmental research and public health · 2022Article
- Individual and context correlates of the oral pill and condom use among Brazilian female adolescents.BMC women's health · 2021Article
- Evidence of the effect of primary care expansion on hospitalizations: Panel analysis of 143 municipalities in the Brazilian Amazon.PloS one · 2021Article
- Continuity of Primary Care in the Brazilian Amazon: A Cross-Sectional Population-Based Study.International journal of preventive medicine · 2021Article
- Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil.International journal for equity in health · 2020Article
- Access to Primary Health Care by older adults from rural areas in Southern Brazil.Revista de saude publica · 2020Article
- Article
- Is there a fair distribution of the structure of dental services in the capitals of the Brazilian Federative Units?International journal for equity in health · 2019Article
- Impact of distance education on primary health care indicators in central Brazil: An ecological study with time trend analysis.PloS one · 2019Article
- A panorama of health inequalities in Brazil.International journal for equity in health · 2016Article
- Tackling low back pain in Brazil: a wake-up call.Brazilian journal of physical therapyReview
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Abstract
backgroundA usual source of care (USC) has been conceptualized as having a health provider or place available for patients to consult when sick or in need of medical care. Having a USC is a means to achieve longitudinality of care with Primary Health Care (PHC) providers. Brazil has made enormous progress in PHC and thus provides an important opportunity to investigate USC in a middle-income country context.
methodsThis study uses data from a nationally representative household survey, the 2013 National Health Survey (n = 62,986), to describe the prevalence of having a USC in Brazil and to investigate to what extent the Family Health Strategy (FHS) has contributed to USC prevalence. Analyses include descriptive, bivariate and multivariable Poisson regression.
resultsShow very high rates of people reporting any type of USC (74.4 %) and more than one third reporting PHC as their USC. Household enrolment in the FHS was positively associated with having any USC (PR:1.09; 95 % CI: 1.07-1.12) and a stronger association with having PHC as the regular source of care (PR:1.63;95 % CI:1.54-1.73). FHS enrolment was negatively associated with reporting emergency/urgent care facilities as one's USC (PR: 0.67; 95 % CI: 0.59-0.76). The association between the more consolidated FHS with having a USC was strongest in the poorest regions of the country (North, Northeast and Central-West). Having PHC as one's USC showed a positive dose-response relationship with the FHS in all regions, especially in the Central-West.
conclusionsOur results have important implications for the health care model in Brazil and in other countries, especially those seeking to base their national health systems more strongly on primary health care. The study suggests expanding primary health care can increase the establishment of a USC which can help assure better monitoring of chronic conditions and attention to patient needs.
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